Provider Demographics
NPI:1275800245
Name:STOVER, JOHN HENRY (PHARM D)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:HENRY
Last Name:STOVER
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2251 YORK CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-4753
Mailing Address - Country:US
Mailing Address - Phone:717-767-2362
Mailing Address - Fax:
Practice Address - Street 1:2251 YORK CROSSING DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-4753
Practice Address - Country:US
Practice Address - Phone:717-767-2362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-19
Last Update Date:2011-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442769183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist